P06-15 What makes physical activity interventions work in Ireland: findings from interviews with those involved with intervention implementation

Abstract Background Understanding the common facilitators and challenges experienced by those implementing physical activity (PA) interventions in Ireland is crucial for both promoting good practices and solutions to overcome such challenges in the future. The purpose of this study was to interview relevant stakeholders to identify factors associated with implementing PA interventions in Ireland. Methods Semi-structured interviews were conducted with service providers, coordinators, funders, researchers and policy makers involved with selected PA interventions (N = 11) in Ireland. The Consolidated Framework for Implementation Research (CFIR) was used to guide the generation of an interview script including key questions and prompts. Prompts were identified through a short survey that was completed by participants before the interview. Interviews lasted approximately one-hour and were conducted by the same interviewer, either in person or over the phone, and recorded using a Dictaphone. All interviews were transcribed and cleaned before being analysed using NVIVO. Open coding, using the CFIR domains as a guide, was used to generate and agree on a code book to analyse all interviews. Once open coding was complete, thematic analysis was used to identify themes in the data related to implementation facilitators and challenges. Results Thirty-eight purposely sampled participants took part in the semi-structured interviews (26.3% service providers, 31.6% coordinators, 10.5% funders, 15.8% researchers, 15.8% policy makers). Some themes related to 1) intervention characteristics included usability, costs, fidelity and practical considerations, 2) characteristics of individuals included constraints, knowledge and attitudes, 3) inner setting included support, staffing, understanding or awareness, 4) outer setting included role responsibility, context changes, partnerships, 5) processes of implementation included advertisement, deliver and scale-up. Relationships were also noted between themes. For example, themes identified for funding and stakeholder engagement were found to influence multiple domains of the CFIR framework. Conclusion Findings from these interviews help to understand the complexity of implementing PA interventions in the Irish context. Furthermore, the findings can be used to aid implementation through the facilitators identified and provide solutions to common challenges experienced by those involved in implementing PA interventions. Future work will see the creation of an implementation toolkit using these findings.


Background
Understanding the common facilitators and challenges experienced by those implementing physical activity (PA) interventions in Ireland is crucial for both promoting good practices and solutions to overcome such challenges in the future. The purpose of this study was to interview relevant stakeholders to identify factors associated with implementing PA interventions in Ireland. Methods Semi-structured interviews were conducted with service providers, coordinators, funders, researchers and policy makers involved with selected PA interventions (N = 11) in Ireland. The Consolidated Framework for Implementation Research (CFIR) was used to guide the generation of an interview script including key questions and prompts. Prompts were identified through a short survey that was completed by participants before the interview. Interviews lasted approximately one-hour and were conducted by the same interviewer, either in person or over the phone, and recorded using a Dictaphone. All interviews were transcribed and cleaned before being analysed using NVIVO. Open coding, using the CFIR domains as a guide, was used to generate and agree on a code book to analyse all interviews. Once open coding was complete, thematic analysis was used to identify themes in the data related to implementation facilitators and challenges.

Results
Thirty-eight purposely sampled participants took part in the semi-structured interviews (26.3% service providers, 31.6% coordinators, 10.5% funders, 15.8% researchers, 15.8% policy makers). Some themes related to 1) intervention characteristics included usability, costs, fidelity and practical considerations, 2) characteristics of individuals included constraints, knowledge and attitudes, 3) inner setting included support, staffing, understanding or awareness, 4) outer setting included role responsibility, context changes, partnerships, 5) processes of implementation included advertisement, deliver and scale-up. Relationships were also noted between themes. For example, themes identified for funding and stakeholder engagement were found to influence multiple domains of the CFIR framework. Conclusion Findings from these interviews help to understand the complexity of implementing PA interventions in the Irish context. Furthermore, the findings can be used to aid implementation through the facilitators identified and provide solutions to common challenges experienced by those involved in implementing PA interventions. Future work will see the creation of an implementation toolkit using these findings. Keywords: Implementation, barriers, facilitators, delivery

Physical activity prescription
Abstract citation ID: ckac095.101 P07-01 Prescription of adapted physical activity: knowledge and needs among general practitioners of Ile-de-France Alexis Astruc 1,2 , Jean-Christophe Blanchard 2 1 Department of General Practice -University Paris 13, Bobigny, France 2 Ellasanté Health Center, Paris, France Corresponding author: alexis.astruc@yahoo.fr Background Physical inactivity is the fourth leading cause of death in world. In France, the concept of medical prescription physical activity (PA) adapted now appears in a law specifies the central role of the family physician December 2016. The needs of the general practitioners about prescription of PA has not been studied. Aim To assess the knowledge and needs of GPs regarding medical prescription of PA. Methods This is a transversal observational epidemiological study of GPs working in the departments of Hauts-de-Seine (92) and Val-de-Marne (94) near Paris. A questionnaire was sent by mail or email. A descriptive statistical analysis was conducted to describe the main variables of interest. Then, a multivariate statistical analysis by logistic regression was conducted to look for independent factors of the feeling of competence in the prescription of adapted PA. Results 158 physicians were included. 72.2% of GPs rated their knowledge in PA as average to very poor. The initial training in PA is estimated as unsatisfactory by 84.2% of GPs. 81.6% haven't done a postgraduate additional training in PA. A specific skill in sports medicine, the individual practice of PA as well as the speaking about PA in more than 50% of consultations are significantly associated with a feeling of competence in PA prescription (p >0.01). Among the measures favoring the prescription of PA, GPs told that they need information brochures to give to the patient (60.8%), a website of help to the prescription of PA which can be used in consultation (60.1%), or the organization of a specific training on the medical prescription of AP (50,6%).
P07-02 Prescription of adapted physical activity: expectations of patients consulting general practitioners in the department of Yvelines

Background
Since 2016, French law has allowed general practitioners to prescribe adapted physical activity (APA) to patients with long-term health conditions. Studies have demonstrated that physicians are interested in this practice but very few have surveyed patient expectations. Objective The objective of this work was to study patients' expectations regarding the prescription of APA.